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General NPI Number Information
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NPI Number | 1437082641
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Entity Type | Organization
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Legal Business Name | POLARIS PEDIATRIC THERAPY PLLC
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Dates
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Enumeration Date | 06/06/2026
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Last Update Date | 06/06/2026
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Provider Practice Location Address
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Address Line | 20806 TOWNSGATE CT
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City | KATY
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State | TX
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Zip | 77450-7027
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Country | US
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Telephone | 832-979-8358
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 31957
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 832-979-8358
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | JESSICA YVETTE REYES
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Credential | M.S.
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Telephone | 832-979-8358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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